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1144312265
MARY JANE JACK
MT PLEASANT, MI
NPI
1144312265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MI ASHA 01088409)
Enumeration Date
2006-09-28
Last Update Date
2010-03-04
Business Address
MARY JANE JACK MSP CCC-SLP
1101 HEALTH PROFESSIONS BUILDING
MT PLEASANT, MI 48859-0001
Phone number: 989-774-7290
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Mailing Address
MARY JANE JACK MSP CCC-SLP
1101 HEALTH PROFESSIONS BUILDING
MT PLEASANT, MI 48859-0001
Phone number: 989-774-7290
Copy
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